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Biomedical subjects

H C Lewinsohn

Publications and source records attributed to H C Lewinsohn.

13 recordsLinked to original sources

A review of medical surveillance records of employees exposed to ethyleneamines.

A review of medical surveillance records was undertaken for 197 personnel who had been assigned to an ethyleneamines (EA) production unit for one or more months between 1947 and 1983. Dispensary visit reports were examined relative to EA and other chemical exposures, medical records were reviewed for allergy and asthma histories, spirometry data were evaluated, and the mortality experience of these employees was studied relative to exposure status. All findings were evaluated in reference to a comparable group of employees who did not work in plant areas where contact with EA was likely. Among 75 persons reporting EA exposures, 7 definite and 8 suspect cases of respiratory sensitization were identified. Similarly, there were 23 definite and 17 suspect cases of skin sensitization. Pulmonary function did not differ between study and referent groups and was unrelated to both EA assignment duration and skin or respiratory sensitization. There were no indications of increased mortality in the study group. Careful selection of employees for assignment to this unit may have occurred by plant physicians, who were aware of the potential sensitizing properties of EA.

Adolescent↗

Mesothelioma in Connecticut, 1955-1977. Occupational and geographic associations.

All cases of malignant mesothelioma (201) and other primary malignant pleural tumors (19) reported to the Connecticut Tumor Registry from 1955 through 1977 were studied in an attempt to identify high-risk jobs, industries and geographic locations and to estimate the risk attributable to asbestos exposure in the workplace. Data were obtained from hospital records, death certificates and city directories for cases, case spouses and a random sample (604) of Connecticut decedents (1955-1975). Three cases involved histories of work in asbestos products manufacture, but there was no evidence of residential risk in that geographic area. Relative risk (RR) for carpenters and cabinetmakers was 2.25 (p less than .05); for plumbers and pipefitters, 3.87 (p less than .05); and for persons "ever employed" in the rubber industry, 5.08 (p less than .01). Occupational exposure was indicated in 85% of the cases; attributable risk (AR) was 36%. Risk increased with greater exposure and older age. AR was 81% in men aged 70 to 89 years at diagnosis. Reduction of unnecessary occupational asbestos exposure remains the highest public health priority.

Adult↗

The influence of occupational and environmental asbestos exposure on the incidence of malignant mesothelioma in Connecticut.

Medical, occupational and demographic data were collected for 229 cases of malignant mesothelioma and 38 other pleural tumours, their spouses, and 605 controls. Methods were developed for classifying subjects into probable asbestos exposure categories. Although disease incidence rates exhibited a rapid increase from 1955 to 1977, there remains a serious question of diagnostic reliability. A case review is being undertaken.

Age Factors↗

A mortality study among workers in an English asbestos factory.

The previous report on this cohort study of workers in an asbestos textile factory (Knox et al., 1968) showed little evidence of increased mortality among workers who had entered the factory after the implementation in 1932 of the first Asbestos Industry Regulation (1931) but observed that no firm conclusions could be drawn, as little carcinogenic effect would be expected for 20 years after first exposure. A further 8 1/2 years of follow-up has revealed some asbestos-related disease in this latter group, although very much less than for employees first exposed before 1933. Among the 963 workers first exposed in 1933 or later, mortality was increased for carcinoma of the bronchus (31 deaths; 19-3 expected for all lung cancers) and non-malignant respiratory disease (35 deaths, 25-0 expected), and a further 5 deaths were attributed to pleural mesothelioma.

Adult↗

Asbestosis -- a diagnostic enigma: a personal view.

Although the carcinogenic properties of asbestos are presently attracting a good deal of attention, asbestosis is still the earliest lung disease resulting from exposure to it and its incidence in an exposed population is the most useful indicator of the degree of dust control exercised over a period of time. The diagnosis of asbestosis depends upon: (1) An adequate occupational exposure history. (2) Physical signs of pulmonary fibrosis. (3) Progressive radiological changes. (4) Confirmatory measurements of altered lung function. Asbestosis is a clinical entity and is readily diagnosed when all the above-mentioned criteria are met. Problems in diagnosis are encountered when one or more of the diagnostic criteria listed above cannot be substantiated. At the present time every effort is made to diagnose the disease in its early stages in the hope that removal from further exposure will prevent the direct and indirect complications.

Asbestos↗

Asbestos bodies.

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Asbestosis↗